Vendor Form for CCSC:SE Conference

 

November 7-8, 2002

Georgia Perimeter College

Dunwoody, GA

 

Please make your check payable to CCSC for the amount of $50.  Mail your check along with this form to Julia Benson or Priscilla Dodds at:

 

          Department of Business Administration/Computer Science

          Georgia Perimeter College

          2101 Womack Road

          Dunwoody, GA 30338-4497

 

Company Name ________________________________

 

Contact Person _________________________________

 

Address _______________________________________

 

             _______________________________________

 

             _______________________________________

 

Telephone _____________________________________

 

E-mail ________________________________________

 

Number of people attending:                      

 

Any special requirements?

 

_______________________________________________________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

If you are interested in attending the conference banquet or luncheon, please include $25 per ticket to the banquet and/or $10 per ticket to the luncheon in your payment.